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Enroll your kids now at West Family Learning Center! We have childcare programs and services that can cater to your child’s learning needs. Your child is sure to enjoy our active and fun-filled activities.

To enroll your child, please fill out the form below.

Enrollment

CHILD'S FULL NAME*
Birth Date*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Male
- Female
Parent/Guadian's Name*
Address*
City*
State*
Email*
Phone Number*
PERSON TO CONTACT IN CASE OF EMERGENCY IF PARENT/GUARDIAN CANNOT BE REACHED
Name*
Address*
Name of Child's Doctor*
CHILD'S FULL NAME*
Phone Number*
Hospital Reference*
Please List Down Any Allergies or Dietary Restrictions of the child*
Additional Information*

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863-777-9023



helpdesk@evolvingmindslc.focusedlife.xyz

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Mailing Address* :

PO Box 728 Loughman, FL 33858

*Please Note: I am a home provider and address information will be provided prior to center tour arrival. Please contact for more informationn.

Have Questions?

Contact Us

HOME

PROGRAMS

FOR PARENTS & OUR RATES

ABOUT US

CONTACT US

Enrollment

Enrollment

863-777-9023

helpdesk@evolvingmindslc.focusedlife.xyz

Mailing Address* :

Have Questions?

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